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Indiana rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,210.70 / $38,502.60 / $51,667.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,297.41 / $30,886.05 / $49,418.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,059.11 / $31,000.50 / $71,096.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,493.96 / $30,423.89 / $43,260.16